| Lifeline Professional Counseling Services, Inc | |
|
335 N. Alma School Rd Ste E Chandler AZ 85224 | |
| (480) 641-1165 | |
| (480) 641-9026 |
| Full Name | Lifeline Professional Counseling Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 335 N. Alma School Rd, Chandler, Arizona |
| Authorized Official Name and Position | Roxanne Daltos (PRES.) |
| Authorized Official Contact | 4806411165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Professional Counseling Services, Inc 335 N. Alma School Rd Ste E Chandler AZ 85224 Ph: (480) 641-1165 | Lifeline Professional Counseling Services, Inc 335 N. Alma School Rd Ste E Chandler AZ 85224 Ph: (480) 641-1165 |
| NPI Number | 1285823377 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 05/27/2020 |
| Certification Date | 05/27/2020 |
| Medicare PECOS PAC ID | 8123459914 |
|---|---|
| Medicare Enrollment ID | O20200512000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285823377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | OTC6153 (Arizona) | Primary |
| Provider Name | Brooke A Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306217187 PECOS PAC ID: 4880934272 Enrollment ID: I20190723003896 |
| Provider Name | Tiffany Stradling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346864238 PECOS PAC ID: 8820413909 Enrollment ID: I20200806001363 |
| Provider Name | Joan Ili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194946012 PECOS PAC ID: 0244639565 Enrollment ID: I20210518002975 |
| Provider Name | Alan Joseph Barone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508425687 PECOS PAC ID: 5799138160 Enrollment ID: I20240201002258 |
| Provider Name | Roxanne Dalpos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932301645 PECOS PAC ID: 4587095385 Enrollment ID: I20240201003856 |
| Provider Name | Nancy Barton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386252211 PECOS PAC ID: 8820431802 Enrollment ID: I20240206004421 |
| Provider Name | Jessica Elias |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902557374 PECOS PAC ID: 7012350507 Enrollment ID: I20240212003906 |
| Provider Name | Angela Wayne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689294324 PECOS PAC ID: 4789028374 Enrollment ID: I20240222001975 |
| Provider Name | Kimberly Brook Foss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629692561 PECOS PAC ID: 7517302532 Enrollment ID: I20240229002925 |
| Provider Name | Kristopher Schlepp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578905824 PECOS PAC ID: 4183069032 Enrollment ID: I20240229004446 |
| Provider Name | Arianna Marie Saenz-ochoa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245956127 PECOS PAC ID: 2466897335 Enrollment ID: I20240301000479 |
| Provider Name | Chelsea Savastio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891317392 PECOS PAC ID: 6709221583 Enrollment ID: I20240303000193 |
| Provider Name | Emily J Ward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831842913 PECOS PAC ID: 1355789769 Enrollment ID: I20240404001724 |
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